Debride nail1-5 11720 at Advocate Condell Medical Center
801 South Milwaukee Avenue, Libertyville, IL · Advocate Health · · NPI 1124272547
$137.50
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$275.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$89.78 with Ambetter vs $4,528.00 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Ambetter | Medicare Advantage | $89.78 | ↓ -35% |
| Molina | Medicare Advantage | $89.78 | ↓ -35% |
| Oscar Health HMO | Medicare Advantage | $92.88 | ↓ -32% |
| Advocate Employee | Commercial | $108.35 | ↓ -21% |
| HSTechnology | Medicare Advantage | $118.89 | ↓ -14% |
| Cigna One Health | Commercial | $143.00 | ↑ +4% |
| Private Healthcare Systems | Commercial | $143.00 | ↑ +4% |
| Cigna | Commercial | $154.00 | ↑ +12% |
| Aetna | Commercial | $159.14 | ↑ +16% |
| Blue Cross Blue Shield City of Chicago | Commercial | $177.65 | ↑ +29% |
| Blue Cross Blue Shield Choice | Commercial | $191.95 | ↑ +40% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $199.93 | ↑ +45% |
| Blue Cross Blue Shield | PPO | $202.13 | ↑ +47% |
| Blue Cross Blue Shield | HMO | $204.05 | ↑ +48% |
| Multiplan | Commercial | $220.00 | ↑ +60% |
| United Healthcare Charter | Commercial | $3,202.00 | ↑ +2229% |
| United Healthcare Core Navigate | Commercial | $3,592.00 | ↑ +2512% |
| United Healthcare Nexus | Commercial | $3,685.00 | ↑ +2580% |
| United Healthcare | HMO | $4,528.00 | ↑ +3193% |
Visitor-reported prices
Comments
Debride nail1-5 11720 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $61.20 | $65.35 – $93.84 |
| MercyOne Genesis Aledo Medical Center | Aledo | $61.20 | $176.98 – $2,970.16 |
| Advocate Christ Medical Center | Oak Lawn | $95.00 | $74.86 – $6,291.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $117.50 | $89.78 – $6,291.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $255.23 | $13.16 – $140.69 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $80.85 | $63.22 – $66.38 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $107.50 | $84.71 – $6,291.00 |
| Advocate Sherman Hospital | Elgin | $80.00 | $59.36 – $4,116.00 |